Translation and Cross-Cultural Adaptation Process and Pilot Testing of the Arabic Version of the Patient Reported Impact of Spasticity Measure (PRISM-Arabic)

Abstract

Context: The Patient Reported Impact of Spasticity Measure (PRISM) is a self-reported questionnaire that is used to assess the impact of spasticity on the quality of life of individuals with spinal cord injury (SCI). Its inclusion in the assessment process for patients living in a country such as Saudi Arabia, which has one of the highest incidences of SCI around the world, will be an integral addition. Aims: The aims for this study were to translate and cross-culturally adapt the PRISM into Arabic and pilot test the Arabic version on Arabic speakers with SCI in Saudi Arabia. Settings and Design: Translation process was administered according to the recommended guidelines used for cross-cultural adaptation of healthcare measures. Methods and Material: Pilot testing of the PRISM-Arabic was administered to 35 individuals with SCI presenting with spasticity. Participants were interviewed to assess the relevance of the questionnaire to the Arabic language and culture. Face and content validity of the PRISM-Arabic as well as its floor and ceiling effects were assessed. Results: During the translation process, the expert committee made changes in 14 occasions due to cultural equivalence differences. Pilot-testing showed eight items that needed further adaptation. After all were made, the cross-culturally adapted PRISM-Arabic showed adequate face and content validity and did not have flooring and ceiling effects. Conclusions: The PRISM has been successfully translated and cross-culturally adapted into Arabic language. Further assessments of its psychometric properties are recommended. Implications for its use in clinical practice and research were presented.
 Key-words: Spinal cord injury, Spasticity, Patient Reported Impact of Spasticity Measure, PRISM
 Key Messages: The PRISM was successfully translated and cross-culturally adapted for Arabic speakers with SCI reporting spasticity. The introduction of such spasticity-specific self-reported outcome measure into clinics in Saudi Arabia is the first of its kind. The PRISM will introduce a new area of research and clinical assessment related to patients with SCI.